* Denotes that the field is mandatory.

Request the removal of rubbish from the roadside or nature strip within Knox.

Rubbish for more information.
First Name *
Surname *
Property Address *
Phone Number *
E-Mail Address
Preferred Contact Method
Please provide exact location where rubbish is dumped, giving cross streets if possible *
Please provide a description of the content of the dumped rubbish *
Please provide the date you noticed the rubbish